- 8 hours ago
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00:00New Incident, Category 1
00:02Put you on an RTC, two cars head-on
00:07This lady has been on the clock since 5am
00:11It's a two-year-old who's been stabbed over
00:15Every day across Yorkshire, more than 3,000 people call 999
00:19He's just not breathing!
00:21He's pregnant!
00:22He's trying to borrow heterolemic officers
00:26The ambulance service must decide who gets help
00:30Andre
00:30We're going to look after you mate
00:32We've got you
00:33Can I get you covered up? Lovely jubbly
00:36And who must wait?
00:3734 jobs waiting for an ambulance now in Leeds alone
00:41As the pressure on the NHS refuses to relent
00:44We're creating the waiting room for a waiting room
00:47The paramedics on the ground navigate England's largest county
00:52Welcome to our office
00:54Alright kid, well done
00:55From the busiest cities
00:57Chaos tonight!
00:59We'll need to get out of Leeds now
01:01To the remotest villages
01:02We're in Porridge, in the middle of nowhere
01:05Where each call is a crisis
01:07Got a five-year-old found wandering in the street
01:10Naked, malnourished
01:12God, it breaks your heart, it's awful
01:14And every decision critical
01:16Hello! Where are we going?
01:17You're alright!
01:18Please let the kids out of there
01:19Where they're going to land in the middle of Bratford
01:23We go beyond the flashing blue light
01:26Oh, well, well, well
01:27To reveal the human stories behind every siren
01:30Just keep going to the door
01:32Absolutely
01:33Thank you for coming
01:34You don't have to thank us
01:35You know
01:37You've got manners, you know
01:39Are we all ready to set sail?
01:41Get a going!
01:42Get a going!
01:42Get a going!
01:43Ha ha ha!
01:52Handle in the air, please
01:53Is the patient breathing?
01:55No no no no no
01:56She just calm down
01:57She just calm down
01:58He's not breathing
01:59Is that exactly what happened?
02:00Oh, oh
02:01He's not breathing
02:02How the person...
02:03Can you get me police?
02:07Okay, we've got the hand-crabbing, okay, if there's a deep openator available, send someone to get it now and
02:12tell them when you have it.
02:13Is there anyone now that is able to come get a de-symulator?
02:16No, we don't know.
02:19On the critical care desk, clinicians can listen in to the most serious calls.
02:25Right, listen, I'm going to tell you how to give mouth to mouth, okay?
02:29Critical care paramedic Alastair is immediately dispatched to the patient.
02:33Hiya, Alastair, just Kale on the desk. Regarding this detail that you're riding on...
02:36We've got a child not breathing on scene.
02:39Yeah, cheers, Kale, thank you.
02:46We need to make sure he's breathing effectively, okay?
02:49So just look at him very closely and each time his chest rises, I need you to stay now.
02:54Okay, okay.
02:55Right, sit and start now.
02:58Yeah, that'll be nice.
02:59Next one.
03:01Now.
03:02Next one?
03:06No.
03:07Next one?
03:11Next one?
03:13The ambulance is here.
03:15Right here.
03:16Are they inside with you?
03:17Yeah, yeah, they're here.
03:19Right, okay, I'll leave you with them.
03:20No.
03:23You all right?
03:25Take a minute, you need a minute.
03:27Just take some time.
03:31All right?
03:37Oh, there we go.
03:38Quick care just been stood down and so is the team leader.
03:40So it's not a cardiac arrest.
03:43Phew, good outcome.
03:47Stand down.
03:491812.
03:50Hiya, Alistair.
03:51Just me on the desk again.
03:51Yeah, I've stood you down off of this detail, please.
03:53Thankfully, that was a good outcome for that child, not a cardiac arrest.
03:57I do believe he's had some kind of febrile convulsion.
04:00The crew have advised you were not required.
04:02If I need you for anything, I'll give you a ring.
04:05Cheers, mate.
04:07Quick care not required.
04:08Good.
04:08Every parent's worst nightmare.
04:10Absolutely, yeah.
04:11With a sigh of relief.
04:23Dispatcher fuel, that is.
04:25Black coffee.
04:27Thank you very much.
04:28You've set me up for the rest of the day.
04:30You're not going to ask me for another?
04:32I absolutely am.
04:33And Wakefield starts misbehaving.
04:35In control today, married couple Katie and Stav are settling into their shift.
04:42They will be responsible for 60 ambulances across West Yorkshire, including the city
04:47of Wakefield and its satellite town of Castleford.
04:52Also on duty are Castleford crew paramedic Geoff and associate ambulance practitioner Eddie.
04:59Teach me some South African slang then.
05:03How's it, my brother?
05:05How's it, my brother?
05:07How's it, my brother?
05:09How's it, my brother?
05:10How's it, my brother?
05:11How's it, my brother?
05:11We're going for a laka braai.
05:12A laka braai.
05:13A nice barbecue.
05:15Yeah.
05:15We'll go watch South Africa thump England at the rugby.
05:20No.
05:22England will win.
05:23No, they won't.
05:26Covering Wakefield today, our paramedic Isbah and associate ambulance practitioner Nando.
05:32Do you know, I remember that your first cardiac arrest in charge, it was me and you?
05:39Yes.
05:40Yeah?
05:40yeah it was your first arrest and I run that I run that car yeah it was a good
05:47work on that one yeah it's a cap 2d tail we've got a 51 year old gentleman by the
06:05name of Dale he's a dialysis patient he's currently feeling very drowsy and he's got pain in his chest
06:13lovely Katie thank you very much for the update
06:30hello hello love what's your name
06:41my name's Eddie this is Jeff so what's been going on Dale he's been having trouble he was so sick
06:47yesterday morning we couldn't go we had a cancer he's due dialysis today but I tried to get him up
06:53and no chance okay so how many times a week are you supposed to have dialysis four four and you've
07:02missed most of this week so when did the vomiting start is it just been yesterday and today has it
07:10been worse than normal yeah but he's also had upset tummy as well this time diarrhea as well yeah okay
07:17so the main thing is you haven't really been having dialysis properly for a couple of days and you've
07:22been vomiting yeah okay have you been able to keep anything down no no radio or very weak well do
07:35you an
07:36ECG okay I think we'll just have a look and see if we can get a line in there and
07:42give him a little bit
07:43of fluid yeah right I'm gonna go get the chair downstairs we'll bobby down to the hospital okay
07:49see if we can sit you up give you a hand here you go all right try and stay nice
07:59and still for me
08:00um I'm just gonna do your ECG you okay oh yeah that's quite bad and lay him down he's gonna
08:16have to go to
08:16recess judging by that ECG um right let's get a line in him get some fluids in us one down
08:24just
08:24run on water okay how come you leave it so long before you ring us out we can't drink jealous
08:41we're in okay give you a little bit of anti-sickness first okay this temperature's low as well 35 yeah
08:51we'll just give you a bit of fluid so your blood pressure's not tanking too much when we sit you
08:56up okay is that all right so he's quite unwell he'll be lifted any longer he definitely would have
09:04gone into cardiac arrest let's get you onto the chair okay oh oh it's all right lean on me well
09:19sit
09:19back let's carry
09:23step
09:30ready one two three
09:32come over
09:37I'm cold
09:38I know
09:39come on
09:41we're trainers
09:43we're trainers
09:45trainers
09:47she's got them for you happy Jeff yeah let's go
09:55have you always loved yeah and Cass
09:59oh Bristol
10:03it's not my original home either I'm from South Africa
10:12Dale you're feeling okay rubbish I think you've done the right thing though I think if you left
10:20it any longer I think you could have been in serious trouble you go out first
10:30I think they'll take him into recess once they see his ECG
10:35well we're gonna go inside now we're warming a tick
10:38three guys one two three oh
10:42sit up a bit
10:46yeah I'll sort you out okay good luck eh
10:49good luck eh
10:52you're welcome buddy
10:54see you later Dale
10:55come on
10:55come on
10:56come on
10:57come on
10:57come on
11:04well guy
11:05he was wasn't he yeah lucky boy his mom called us today could have been a cardiac arrest
11:11mm-hmm
11:12that's 51
11:15you got it
11:191705 go ahead
11:221705 hi it's Katie just wanting to get an update on the patient please how is Dale doing
11:28hiya Katie yeah Dale's been quite unwell um he's missed his dialysis for a couple of days
11:34because he's been vomiting he's been quite lethargic uh mom was really concerned um so she rang when
11:40uh he became a little bit confused uh good thing she did with because when we got there he was
11:45showing signs of um high potassium so uh he was at massive risk of going into cardiac arrest
11:51um we've taken him through to recess now um icu have come down already and had having a look at
11:57him
11:58so icu might be the best place for him quite close to home for me because
12:06my dad passed away from reedal failure so it's quite when it's quite close to home to me
12:16yeah i'm so sorry to hear that yeah i can imagine it must it must really bring it back
12:20just need a minute
12:23are you okay
12:25yeah it's eddie jeff's uh yeah he's all right just um needs a minute after that job really
12:31you know just take your time clear whenever you're ready
12:35we will do thank you katie we'll uh speak to your mcclenn
12:56catch the heart sometimes a little bit you know now yeah it's much talking about it
13:06i was at 60 my dad went into renal failure yep british national in south africa during
13:13covert as well so couldn't go and see him and he passed away before i really knew what was happening
13:20it's a shame you weren't able to fly over yeah cover
13:27let's go get a cup of tea yeah cool let's do it
13:39i think as a bloke sometimes emotionally we don't deal with what's going on in the background
13:45you know the baggage becomes quite heavy um until you get to the point where
13:49it's overflowing and your whole world comes crumbling down on you
13:53i think i have a problem that i don't do good like talking about emotions and that
13:57i don't know whether these shoe boxes i put the shit in and put it back on the shelf
14:04people deal with grief in different ways
14:09um it's the little things that can trigger it and come out of the blue
14:15my dad dying has definitely been life-changing for me
14:22it's always with you i'm proud sure of that thanks bro no worries it's wrong going to costa and
14:31getting a tea though isn't it yeah well you live in yorkshire now so god's come to you
14:47it is six hours into the shift and control are now taking a new 999 call every 18 seconds
14:56ambulance um patient breathing yeah it's my mom she's got pains in her chest and down her arm
15:03so we are currently and i mean it's going to be there as soon as we can we do have
15:07to give the
15:08maximum time frame of up to two hours sorry with all ambulances across the region currently assigned
15:15to a patient every single new call will be put into a queue to wait until a crew is freed
15:21up
15:22ambulance service is the patient breathing bye can i get that other night for you is the patient
15:27breathing yeah yeah you shouldn't have waited yeah she's in some kind of pain chest pain here now
15:35okay tell me exactly what's happened she's had heart attack before okay we are extremely busy in the
15:41area and we are seeing delays of anywhere up to 40 minutes ambulance service is the patient breathing
15:48he is breathing but very labored um he's running into some medical emergency in his cell
15:55do you know how long he's been like this for he's been 15 for the last seven minutes about
16:01he's been fitting yeah all right modernizing that help for you now just stay on the line for me
16:11do you know when you get knocked out you go static your limbs go atomic
16:16yeah yeah yeah his arm go like that and his fingers are squared
16:22could you hear that what was that sorry he's now unresponsive is the ambulance coming yeah we've got
16:30help organized coming as cat one one two three four four cardiac arrests in four minutes multiple
16:38resources going at least two dcas on every cardiac arrest
16:43and then rtc's four rtc's within half an hour
16:55alistair can't find a physical cause for the symptoms the patient has presented with
17:00as his observations are all normal we'll slide under nope sorry watch your feet
17:06oops feet sorry apologies there we go perfect thank you very much
17:14yeah so this patient seems to be someone from psychosomatic seizures
17:18and he is aware of our presence observations are all stable uh intentions to travel to bri just
17:24for uh assessment although the patient is medically stable going mate relax yourself for this you're
17:33doing well alistair must still escort him on the ambulance to hospital
17:39i'm coming more than happy that this is psychosomatic so i'm just going to be all right shall we
17:49come on now i know you're awake i don't know what's going on we'll be here to look after you
17:52all right brother are you allowed to tell me what he's in for today so is it
17:58anything to go off related or you're missing us all okay come on open your eyes
18:05coming on the date type of company just look at your parents all right
18:10alistair will have to wait with the patient until he is handed over to medical staff
18:18ambulance service is the patient breathing oh have you had to breathing yet is the patient to wait
18:24oh yes he's awake do you want to tell me exactly what's happened he just fell off a ladder
18:31he was feeling the girl and he fell off the ladder and how far did he fall so how far
18:35it was the
18:36ladder look out uh oh my god 60 70 feet they fell head first when he's fallen off the ladder
18:46what's
18:46he hit yeah okay i'm arguing anything help for you now stay on the line i'm going to tell you
18:53exactly
18:53what you want to do now the call in progress requires an urgent response but every ambulance
18:59in the area is busy treating patients and the only available critical care resource is over 70 miles
19:05away we've only got one critical care car available now and that's in hull oh dear all these resources out
19:13on multiple jobs you're constantly spinning your decision model and it just reminds you how
19:24few our specialist resources are to cover the hole of gas
19:27how's he doing he's streaming in bed trying to keep on the palm
19:32all right paul you got this they are coming as an emergency so they'll be with you as soon as
19:37they can
19:38after 30 minutes at bradford royal infirmary alistair has managed to leave the patient who was
19:44transferred from police custody with doctors he is immediately dispatched to the patient who was
19:50fallen from a ladder 18 12 yeah hi alistair it's a 45 year old male who's fallen 16 foot off
19:58of a ladder
19:59uh he's reporting that he has uh elbow knee head and shoulder injuries uh he can be heard screaming in
20:06pain in the background no dca on it yet due to how busy is currently
20:12okay thank you i'll uh give you an update again thank you very much how's he doing oh
20:18the door is blurry we're just a bit blurry now don't hit him don't move you have arrived at
20:24your destination oh damn just let me know when they die with him
20:29they're with them yeah that's perfect i'll leave you with them quick now
20:43oh my god on the floor what what's your name mate paul i landed like face first and my arms
20:50were under at ladders okay okay okay so that's just the front of his there oh my god your nose
20:56feel tender across here as well yeah yeah cool right another on your head you've got any injuries
21:01elsewhere at all yeah fingers here this wrist yeah that wrist this elbow my shoulder my chest my knees
21:08all right pal no worries we'll look after you all right mate no worries oh my god
21:13pull open your mouth now and run your tongue around your mouth run your teeth anything loose at all
21:17i've got no teeth anyway okay oh okay any pain in your tummy at all oh it's just tender tender
21:24where
21:24all over all over all over all right mate all that hand is gone numb oh oh
21:34keep your head keep your head still for me mate all right don't move your head oh you're doing well
21:41oh stay still for me stay still 18 12. yeah he's got an injury to his head
21:51uh left shoulder both left and right wrists um upper right chest um and potential legs uh where
22:00am i on the list for dca please oh yeah that's all received there you've got a dca running one
22:05five
22:06minutes yeah that's all received thank you kail has managed to dispatch an ambulance to support
22:13alistair but it is 15 minutes away paul we'll get you an ambulance mate it's on its way not long
22:20now
22:21yeah right this arm does it hurt or just your wrist just my wrist and that finger blood pressure's
22:30good heart rate's good that's good most of the pains in my head my neck down my left side my
22:36shoulder
22:36my back don't move all right we'll get some pain relief to keep warm that's all
22:45it's going to put a cannula into your arm all right is it no moving oh nice and still oh
22:51are you all right buddy still with us yeah i don't feel well you're okay pal
22:59steady here we go you're okay paul
23:06am i dying no you're not dying paul you're doing okay you're doing really well mate i know you're
23:12doing you're doing fine promise you
23:31you're not going to die fella you're not going to die
23:48a lot of people need to meet so you're going to be okay
23:52right again how old is your daughter 16 16 good man 18 months ago i used to be on class
24:01here drugs i used to be a proper smack head i was on the streets for about eight months but
24:07now
24:08i'm off the drugs i'm completely clean and living in the old house
24:12must have taken some effort to do that
24:14it's taking a lot of effort but it's all going to school and everybody's doing the right things
24:19and i'm trying to do the better of my life
24:28really well you have come off the top of a ladder though haven't you so
24:31all right paul
24:37we're looking at you mate all right okay thank you very much you're welcome a couple of bumps
24:44mates who come out this ambulance good man
24:49you're welcome paul will be seen by doctors to assess the severity of his injuries
24:56i need a holiday
24:59i just want to go and like just you know explore the world
25:04the place i really really really would love to go to is about booking this is japan
25:09i like to go to south africa i want to go to iceland
25:12i want to go to norway to watch the uh northern lights so you want to go everywhere basically
25:18i want to go everywhere yeah that's yeah let's resume to death
25:22it's the everywhere
25:28i've just dropped you on this job up at garforth at the medical center it's an 83 year old female
25:33name of kathleen uh she's got a history of svt um currently got a pulse of 160 and it's quite
25:38light-headed um doctor wants her into alien yeah no worries that's fine thank you
25:46so it says the patient's in svt like they could get really dangerous if they're in this rhythm for
25:51yeah for more than just full of hours oh the interest is there yes righty go pick up kathleen
26:04hello my name's isbert this is nando is it kathleen it's hiya kathleen is it all right if we do
26:10some checks on you kathleen no what's feeling i'll go home then i'll see you later then how are you
26:18feeling kathleen at this moment of time i don't know not myself not yourself in what way what's
26:28i think if you were saying something to me i won't take it all in you mean like a bit
26:33confused
26:34yeah yeah what's been going on kathleen ah sorry what's she done oh why is she here yeah well she
26:45she she she's sure she was okay and then all of a sudden she just says oh i'm feeling my
26:49boy no chest
26:51pain or chest discomfort no no just let me memory has her memory always been like that
27:00oh she got dementia oh okay how long has she had dementia for well she was officially diagnosed
27:08uh 18 months two years ago oh is it more short-term memory that's affected than long-term
27:15no yeah long-term long-term long-term well when you say to me that you're not feeling
27:20all right you're not feeling yourself yeah you remember things way back when you were a kid
27:25yeah what do you think nothing yeah okay i remember everything i have to write it down yeah
27:36uh your heart's definitely going on some sort of roller coaster ride here kathleen
27:42yeah my heart keeps flicking through random rhythms and sometimes it goes quite fast
27:49at some points it goes a little bit irregular yeah yeah so we will have to take her down to
27:55lgi
27:55and get a scene there okay yeah all right how are we feeling lovely falling asleep
28:07how long have you guys been together
28:20how long have we been together about 27 years yeah it can be hard though dementia we've been all over
28:30the world
28:32and uh she she can't remember any places we've been but she's sad really i know
28:44oh dear
28:48gonna have a little trip to hospital just to check what's going on with your heart all right
28:55yeah no he's coming with us don't worry yeah just take as long as you need it's quite high so
29:02be
29:02care there we go really it's not a ball in there is it no definitely not so you see you
29:10went out for a
29:11just a blood test and now you're gonna go for a ride with me
29:19i'll go down in my own car yeah of course yeah we'll be going to lgi because they're cardiac
29:25all right then see you then peter peter said he's gonna he's gonna come up to hospital in his car
29:33yes
29:33all right and i'm gonna do and get in your tummy again and just put on the sides in here
29:39all right
29:40i just didn't want to pinch your skin and we hope to last tough cookie yeah yeah baby
29:58you know what am i doing in here your heart is going a bit doolally so we're taking you down
30:04to
30:04leads that light too bright for you there you go a little bit dimmer that better better better no
30:13you're not dim
30:19all our different experiences that we've had the good and the bad do shape us into the people that we
30:25are today i feel like if i didn't have the experiences that i've been through
30:31i wouldn't be able to connect with the patient the way that i connect with them now are you allergic
30:38to anything men but you just said you liked yours i don't it's best yeah it's one of the best
30:48things we
30:48can do is listen paramedics are like therapists there's always a way forward and there's always
30:56somebody to talk to we're here now pete shouldn't be far along you followed us in a few bumps in
31:07here love
31:17all right just uh ready to go home yeah it's been intense today it's been mad oh people are
31:24starting to walk into the building it must mean it's nearly time
31:30i'm being perfect it's a picture breathing he just wanted me there now and he couldn't speak
31:36he's got c-o-p-d thank you and what's your relationship to me then i'm just a friend
31:43girl and i just get a shot and throw on jeff and eddie have just arrived on scene
31:51i think i might have been here oh yeah yeah yeah hello ambulance my name's eddie this is jeff
32:01i think we've been out a few times to you with your breathing haven't we
32:06has your breathing been worse today than normal i'm a bit rough but i've been worse
32:13you're being worse just lift your arm up is his breathing normally like this yeah that's normal
32:19but yeah i don't know what to do okay he's hardly hearing so you have to shout yeah raymond
32:33when last did you use your neb i used it this morning when i was here yeah
32:38oh okay pam how long's he had copd for years as far as i know does he still smoke
32:46no actually he's cut away we do but he's still smoking yeah and how bad is his copd normally
32:54he's worse than that normally so this is quite a good day
32:57aye but earlier he was he saying i think i'm dying i think i'm dying does he get panic does
33:03he panic with
33:03his breathing sometimes which is understandable isn't it yes because i think i'd panic if i couldn't
33:09catch my breath yeah every now and then i get a flare up then i come fighting through me breath
33:19yeah
33:21but then it just calms down
33:28okay i thought he was right there's a bobbin um how do you know each other oh i used to
33:37know him from
33:37the pub years back are you his missus no i'm not i knew his i knew his wife oh you
33:45knew his wife yeah
33:47would you go to hospital no no definitely not definitely no frank you're breathing
34:03i don't want to go to hospital well what are you going to do then i want to get home
34:10for emmerdale
34:11for emmerdale oh hi there it's jeff here from yorkshire ambulance service paramedic i just want
34:17to have a chat to the gp about his shortness of breath are you beautiful me thank you not as
34:23beautiful as you though pam um i was just wondering he does not want to go to hospital under any
34:30circumstances i was just wondering if there's any way that we could get him uh start him on some
34:36prednisolone and some antibiotics thank you very much doctor okay have a lovely evening bye-bye i've
34:44spoken to the doctor she's prescribed you some antibiotics and some steroids okay is the prescription
34:56in asda i'm going i'm going to get it yes i'm going now not now okay okay yeah yeah thank
35:12you
35:12lads okay no worries ray you're welcome right okay
35:22it's like phoenix nights pam riding off into the sunset
35:28good luck tonight thank you very much okay if your breathing gets worse push the button
35:37see you later ray take care thank you no worries
35:49wow wow that was difficult wasn't it difficult yeah good thing he's got a perm though eh yeah it's
35:57good for him she'll keep him safe
36:13it's the start of a new shift for the yorkshire ambulance service here we go
36:1918 12 good morning yeah good morning alistair hope you're okay yeah i'm all well mate thank you very
36:25much nice and rested all keyed on and ready to go thank you thanks alice
36:33in dispatch katie and stab will be looking after crews across west yorkshire again straight in straight
36:40to work straight same story every day i know in castleford jeff and eddie have just signed on for
36:50their shift
36:521705 it's katie it's a category 2 39 year old female by the name of laura so she's been in
36:59a previous car
36:59accident and had one side of her body operated on pelvis hip knee and lower leg and she has now
37:06unfortunately fallen over screaming in agony with pain in her hip she is outside brilliant thank you we'll
37:13um give you an update if we need anyone else cheers oh she must have been in a bad car
37:18crash yeah yeah
37:19yeah how old was she to her hip and her pelvis 39 year olds yeah i must have been a
37:24bad one
37:25yeah i suppose if it's all still healing she's got a fracture but again find out when we get there
37:31this one here we are all right do you want to tell us a little bit of what's happened i've
37:42just
37:43literally just stepped and then i've just fallen backwards on my bum i've not actually fallen down
37:47the steps okay but obviously i've hurt my hip and i'm just panicking now because of everything that i've
37:53been through i feel yeah i'm stressing right so you've fallen backwards onto your bum and then
37:59have you guys picked her up and put her under the chair i needed to i was lying i needed
38:04to move
38:04so where's your pain mostly now which which ah sore yeah there yeah
38:15so i know you're in a lot of pain does it feel different to what it has done or um
38:20i had a really bad car accident in august so i've had a long recovery yeah a lot of bones
38:28had
38:28multiple surgeries i've had fractured pelvis fractured hip fractured knee fractured sternum fractured
38:33wrists fractured wrist wow really was a big car crash yeah we'll do some obs um and then see if
38:41we
38:41can go about getting you on a vehicle and then we'll take it from there most likely going back for
38:46some
38:46checks we'll grab should we grab a stretcher yeah so what happened with the car crash then i'm just
38:52some idiot it always is isn't it country rent on the wrong side of the road all the way on
39:00our side
39:00of the road oh my god yeah it was bad yeah but these things are going to happen aren't they
39:10accidents happen
39:13i know see if we can stand just use your good leg just you're doing really well okay
39:25look look at me okay just try the internox okay no no no i'm not finished talking yet
39:33oh don't make a laugh at it if it's excruciating pain yeah and you can't manage yeah straight back
39:40down yeah okay we'll sort it out don't do it in pain okay ready one two three here we go
39:48no yes can you
39:50manage no no no okay why don't we just get some morphine on board yeah give that a minute or
40:02two
40:03eh do you want to use the internox
40:07so what do you do for a living i'm a health and well-being officer
40:11oh yeah so how is your health and well-being being if you get a bit of rapport with people
40:25they're a little bit more open about what's happening with them it is important to encourage
40:31people to talk there's always something else going on in the background we're all dealing with stuff
40:39it is life-changing isn't it yeah you must have been in a right state when you went to leeds
40:45is the morphine kicking in yet i think so because i feel a bit like it good
40:49shall we do is that pain going off a little bit yeah does it help okay
40:53hang on hang on hang on sorry just a minute just brace yourself for it
41:05all right it's behind you if you want to sit down well done well done
41:13it's the panicking again not the pain i'm all right while i'm sat here it's the panicking just
41:18because everything from before you're all right you're all right you're okay stop it
41:25you did it before you did it before hey the panic just got there i know all right come here
41:33give
41:34give me a hand i wish i could stop it come in
41:40try in through your nose out through your mouth listen to the sultry sound of my voice
41:47i think of things you're on a beach your accent in south africa
41:52okay drinking a glass of red wine red or white white white oh yes yeah always white in the sun
41:59red in front of a fireplace in the winter good okay there you go huh you just need to take
42:06your
42:06mind off it okay just because i get in my head right the last bit okay we'll just be quick
42:13okay one one two that's it that's it that's it that's it that's it okay okay okay use the gas
42:22in
42:22here come on well done well done okay my love
42:40hopefully this isn't a big setback hopefully not but if it is it is it's disappointing and
42:46annoying but at the end of the day i'm alive
42:56how are you feeling all right still sore yeah hopefully i'll get sorted and back home soon
43:12oh imagine being in a car crash like that and then she remembers it being um so painful
43:19you can tell she's traumatized by the um memory of what's happened mm-hmm bless her
43:34i'm doing service i'm in wakefield town hall i've got a big function on but the lady's just
43:40co-opted okay is the patient breathing she's breathing yeah yeah no done the eyes are short
43:54the nearest resource is 1692 is bar and nando they are three minutes away
44:031692
44:05put a 75 year old female and she's suffered a couple of collapses she isn't completely alert so she does
44:14have an altered level of consciousness ah no worries that's fine we'll go and investigate thank
44:19you thank you very much let me know if i could do anything for you
44:35oh hello hello is it christine so i'm nando
44:41hello hello do you remember anything that's happened
44:47yes yeah i was sitting at the table yeah chatting and i suddenly went all hot yeah and i'd gone
44:53down
44:54and that's happened three times now yeah i think i'm beginning to feel a bit better you're starting
44:59to feel a bit better is that because you've seen us two yeah
45:05do you have diabetes any heart problems at all no nothing like that no it's mainly anxiety and
45:11depression and i've got underactive thyroid yeah i've normally been well
45:19which one's pam pam my friend in the blue palm yeah so what was happening here today
45:27it was a talk by an orphan all right i had afternoon tears oh they're gonna put some stickers in
45:33your
45:34chest you're all right lovely i undid my bra for sat with tight it helps though sticking these on
45:41do you know what there's nothing nice after a long day than taking your bra off oh i agree
45:51all righty your ecg looks good i think your friend's quite worried about you your best friend
45:58i've not seen it like this before bless her all right palm you'll pop in now if you want we're
46:04all
46:04done i've never known anybody so i'll go three times yeah well we did say it was quite unusual for
46:11her
46:11so we'll pop you up to hospital if you want to go better to be safe than sorry it is
46:18better to
46:19get checked isn't it yeah no that's the right decision mother yeah you've always got the sense
46:24well yeah she does doesn't she i've been i've been well you know i've been through it just these past
46:31few weeks don't yeah no you don't need any more i lost my sister last year you gave me a
46:38scare
46:39you gave me a scare because i just thought it's happening to chris now you know it's the anxiety
46:45of it all isn't it but i won't you know that's what friends are for
47:04well welcome to our office
47:08i'm a very independent person i know but sometimes you've got to depend on somebody even if it's for
47:14a couple of hours yeah let us look after you it's our job to look after you have a seat
47:20on this one
47:21i'm gonna hear a plan
47:26i feel like crying because i'm all just let it go chris just let it go i know let it
47:32go if you want to
47:33cry everyone has a story sometimes something that they've experienced in the past can resurface when
47:43they feel stressed it can manifest in physical symptoms your brain controls everything have you
47:52had anxiety most of your life i think so it's got worse as i've got older yeah yeah it might
48:02be because
48:02you know the good and the bad of the world and maybe you've experienced loss in your life that's
48:09making you more anxious than usual because grief can hold into you i did hold on to grief for a
48:18long time
48:21i lost a child when i was younger and that comes out every so often
48:31everyone has trauma in their lives and at some point everyone does need to face it
48:37and somehow deal with it so you're only a young girl aren't you yeah how old do you think i
48:44am
48:45this are 20s i'm 30 next month oh yeah you are a little spring chicken oh no do you know
48:53i didn't
48:53really want to be 30 i hated it felt really hard you funny say that i'm looking forward to my
48:5930s
48:59but that's only because i hated my 20s did you yeah yeah this proves you just see somebody in the
49:05street and there's things going on other people's life i'm feeling better than i did good because
49:13we've talked haven't we yes yeah
49:20you never really know what someone's actually going through until you go in there and you find out
49:35i'm doing surveys for patient breathing it's struggling to breathe all right did you tell me
49:42exactly what's happened well we have cancer a moment it's throwing up a load of blood right okay
49:50that helps being organized so you get you doing really well okay you'll stay on the line with me
50:00that's what i'm saying yeah that's all i see thank you father has he got any pain yeah
50:14it's all cancer he's got so right okay you're still vomiting thank you he's just done it again now
50:22that's quite a lot that's coming up
50:24pull the ladder we can't think it's in you now all right daddy i'll leave you with them
50:35do you do it
50:36hi mate
50:39are you your dad okay yeah i got uh very late stage bowel cancer
50:45god john i'm alistair can i just ask um in terms in terms of what you want and where where
50:52this
50:52where you're going what what are you is it plan to stay at home and and be managed at home
50:57okay
51:04okay and this blood you're bringing up at all when did you start doing this when you start
51:07up front of this blood when he came when he came so he was not full of blood before this
51:12this is
51:12the first time today that's happening yeah and john your biggest concern at the moment is it the
51:16pain or is it the vomiting blood it's all right don't have a lot oh it's all right
51:29so my plan is to have a conversation with gold line all right yeah maybe get some medication we
51:34can give you to stop that sickness but i think if it's bleeding we need to try and stop that
51:37out
51:38it's just to be quite sore yeah so okay hello hi there you're right this is john he's got bowel
51:45cancer and stage so it's on and daughter here so we seem to make them comfortable yeah yeah do we
51:50have some morphine for me i'll give you some sub cup how are you feeling hi john oh shit
52:00you feel sick at the moment john yeah hello my name's alistair i'm a private
52:05for the ox ambulance service i'm currently with a gentleman called jonathan i believe he's under
52:08your care um he's vomiting the blood he's regularly doing it now and i'm not convinced that hospital's
52:15a great place to go especially with him being so unwell and the potential possibility
52:19of things coming to an end in hospital i just wonder what we can try and do to help him
52:24basically
52:27that's perfect appreciate your help thank you cheers bye-bye
52:35so that's a liddick gold line she's going to phone both hospices and we'll see what we can do from
52:40there
52:40we'll try and see if there's any space to take him to our curio or manor lands yeah absolutely yeah
52:51what ever's happened internally is is probably going to be what would require would be surgical
52:57intervention but because of his cancer he won't survive it he won't go through that so when i do say
53:03that yeah i'm sorry and i don't know how quick that'll be or but we need to make them comfortable
53:09because he's in pain and distress and that's that's the idea of what we want to try and make sure
53:13that
53:13he's that we can support him that's that's that's what we can do so unfortunately we go from one level
53:19trying to prevent it and then now we're just trying to um okay i'm sorry but it's been quite sudden
53:26and
53:26that's one of the basics of expected the palliative later within last week and she says when it gets
53:33to the last few weeks then the things we put in place and i said well how will we know
53:38when it's
53:38the last few weeks and she said there are things we look for yeah so hospital's definitely not half
53:47the cards but i'd like to prevent that because they're going to bring the gunner they'll be able
53:51to support him comfortably but it's in a busy need apartment we don't want that okay but i'll try
53:56and prevent that at the best i possibly can you all right thank you very much we're going nowhere
53:59we're going to make sure he's looked after yeah how's your pain john
54:07not so bad cool so the morphine's working that's great that's fantastic
54:11did he make it
54:28what did you do for a career then yeah electrician all right that felt handy then in it
54:36yeah very handy almost got to offer that around in to
54:48hi tallister hi becky
54:54okay thank you we're pretty much prepped to go here so we'll um if you're happy to
54:58receive we'll uh head up to maricuri cheers becky thank you very much for your time bye-bye bye-bye
55:07so maricuri's accepted him so let's um get him on the ambulance
55:17i'm going to pick you up me all right ready steady lift
55:32we're done we're done now john all right i'll see you up there all right
56:18we'll all lose our parents at some points in life
56:21help i have done if something exciting happened in my life my dad would have been the first person
56:27that i picked the phone up to seeing his number on the phone and knowing he's never going to talk
56:33to
56:34quite tough other people are going through it as well we need to talk about things to get them off
56:44our
56:44chests so that we're in a good place to help the people around us all right good thanks for a
56:52good
56:52shift see you later hopefully by talking about my past traumas i can better help people than i'm going
57:01to as a paramedic
57:07me
57:47you
58:05Details of organisations offering information and support with cancer, organ care and transplant
58:10or mental health are available on the BBC Action Line website.
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